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Individual

MR. TIM A BRANHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
43753 COVERED BRIDGE RD, VINTON, OH 45686-8540
(740) 669-8608
Mailing address
43753 COVERED BRIDGE RD, VINTON, OH 45686-8540
(740) 669-8608

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
324997
OH
3747P1801X
Personal Care Attendant
324997
OH

Other

Enumeration date
01/14/2011
Last updated
01/14/2011
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